Diagnosis And Treatment Of Pancreatic Cystic Tumors: An Analysis Of 35 Cases

Objective: To assess the common types,diagnosis ,differential diagnosis and surgical option of pancreatic cystic tumour.Methods:From January 2002 to March 2011,2008,35 patients with pancreatic cystic tumors in The First Affiliated Hospital of Dalian Medical University were reviewed retrospectively.Results: 10 patients had serous cystadenoma and 11 patients mucinous cystadenoma;12 patients had cystadenocarcinoma including pancreatic intraductal papillary mucinous cystadenocarcinoma(1 patient),mucinous cystadenocarcinoma(4), serous cystadenocarcinoma(1) and pancreatic cystadenocarcinoma(6);1 patient had intraductal papillary mucinous cystadenoma and 1 patient solid pseudopapillary cystadenoma.Pancreato—duodenectomy was performed in 4 patients,segmental resection of the pancreas in 1,distal pancrectomy in 17,spleen-preserving distal pancreatectomy in 1,single tumorectomy in 4 ,drainage operation in 3.4 patients didn't receive surgical treatment because of general tumor metastasis in abdominal cavity including 2 patients performed interventional therapy. The complications were pancreatic fistulate and abdominal infection.1 patient with serous cystadenoma died from acute renal failure and septic shock, Twenty-two patients with pancreatic cystoadenoma and 5 patients with pancreatic cystadenocarcinoma that was completely cut were alive without relapse. Of 2 patients who had pancreatic cystadenocarcinoma with simple drainage ,1 patient died 5 months and 1 patient was alive 3 months after opration.2 patients with pancreatic cystadenocarcinoma died 7 and11 months after interventional therapy .Conclusions :Modern imaging methods are main diagnostic techniques.Surgery is the most effective method for the treatment of pancreatic cystic tumors.Exairesis rate is higher and prognosis is better.And correct diagnosis and reasonable surgical option are the key toraise the cure rate.